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Chaim of Custody Record on-phr, lri=: /Vco Tmp. p, <br /> bD Pro*1 Name StvilonNo.548 ±?.alta lima: Temp: <br /> 8P BUIGEM CO Portfolio: 5 Cwditicna: <br /> BP Laboratory Contract Numbtr: t�ctaarofa 'Cal Evcnte: ..� <br /> Date: / Requested Due Date 10 d ys 'om datereeeivea ends AV e "D <br /> Send To: PJGSMA Facilih,No.: 549 Caass:itanilCanttactoa URS Co!2. <br /> Lab Namc: wlaED <br /> CM FaeWt Addmu: 1612 W.Hn m-..Lemo,StoolkYun dd:csv: 2874 Gatgw Oaks Dr..2La 3W <br /> Lab Addeasw: No. ARCO 548 Sumatx=w.CA 45833 <br /> 819 Stnikcr Avc,SLC 8 Site L*t/Lvn : a--mail EDD: d0ni$e Yeegurscorp,com <br /> SsarrmanW CA 93834 iferilis Global ID,C: 74607700134 Consultant Pno'eet No.. J5-ODO00548.01001i3S <br /> Lab PM: Ron Babcl BPIGEM PM Contact: >yaul Suo le oaLsaltamTclelFax:916-679-20DU679-2900 <br /> Tr1cfFsx: 416-921-960GU 7.0-100Add <br /> Il'Fecss: P.O.BOX 6S49 ConpultWT-M: YesvonElurth-916.717.WS <br /> Re ort T e& C Level: Lrvcl M Moa•a CA 94570 Invoice w,, Consultant <br /> BW W Acerant No.: e[e11Pax: 9'..5.299,8391 J 925.299.88"7: BMW Wor=Releaw Zo: <br /> Lab Bottle Order No: d[atrixreeervYt[ve8 Regua:tdtra3s <br /> �• • Sam a axe#L2L%0�dell <br /> No. Sample 1Dc:ltriritian, Time Lahatatbry No. $ ��, a S Catral:rats <br /> ob <br /> 3 z s c o ` I <br /> 1 Total:,A,ir � x 1 X x <br /> 2 Cat Air X 1 X X <br /> 3 •Air X 41 <br /> a <br /> 7 <br /> SSI r <br /> 10 <br /> f Samlc.r's N*me: Gen BrWshaw RCE of It aut• wtc me B !ACf iatian e <br /> Sam Ws Company.,TJRS Co tion .. 1 E <br /> 5hi meat natc; 'c' 'n <br /> Shionwmt mathod. <br /> Shi rncnt Trurkin No: <br /> S 'allztstrucHarul- •'"• , <br /> Custody SCUTS In Placa YaS No Tcrnpa=Wre Blank Yes No Cooler Tee�perature on,Reeeipt FJC Trip EWA Yes No <br /> Distribution: White Copy-Laboratory I Yellaw Copy-ILP/GEM I Fla Cupy-C=SV1WAtfCuLioract,o,: 7sr CxRnr.z xtsros <br />